| CLINIC OF CHAMPIONS | |||||||
| Parkersburg High School | |||||||
| Friday March 4th, 2005 | |||||||
| Registration Form | |||||||
| (Please Print Neatly) | |||||||
| NAME | GRADE | ||||||
| ADDRESS | SCHOOL | ||||||
| EVENTS | |||||||
| PHONE | |||||||
|
Check One | ||||||
| On the Run (clinic) | Coach | Athlete | |||||
| 3207 1/2 Emerson Ave. | $35 | $10 | |||||
| Parkersburg, WV 26104 | |||||||